What part of ma are you from? I just joined a fantastic Pain Care Center in Waltham Ma.
They have a VERY strict medication management program there, so if he is hurting as you say, then this place might be good for him. It is definately not for temporary pain, or someone who has not gone thru all the other options to cure his problem, but very understanding about pain and quality of life issues.
They do urine drug testing to make sure no other meds are in the system besides what they prescribe. It also takes about three weeks before they start to prescribe meds. You must sign a form stating you will not use more than one pharmacy and not recieve any scripts from other doctors w/o thier approval. They are strict but, at this day and age it is very hard to get the meds that will really help you from many doctors or primarys. These people are not afraid of prescribing any meds and will keep switching until you feel comfortable with the meds and they are woking great.
Just a thought,
Hope Everyone Has A Pain Free Day!!!